Posts

Health Information Technology Project

/in /by

 
Nursing homework help
Health Information Technology Project
In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a Doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills.
Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.
To prepare:
Investigate a health information technology (HIT) system or health information technology application in your area of interest. The health information technology system/application may be in any setting where health care information is developed or managed. You may choose your system or application from any organization or virtual environment.
Examples of health information technology systems or health information technology applications that are acceptable include but are not limited to:
Consumer health applications
Clinical information systems
Electronic medical record (EMR) systems in hospitals or provider offices (SELECT THIS or)
Home health care applications
School health applications
Patient portal/personal health record (or SELECT THIS)
Public health information systems
Telehealth (i.e., from facility to home)
Simulation laboratories
Health care informatics research and development centers
Discuss your proposed health information technology system/application with your Instructor before proceeding with your final selection. You may visit a health care organization in person or virtually in order to make your final choice about the health information technology system or health information technology application of interest.
Choose the best strategy to gain information about your selected information technology system/application. Some ways to gather information include virtual visits; vendor demonstrations; on-site visits; interviews via face-to-face, phone, or teleconference. You must conduct at least one interview for this project.
Complete a literature search to gather information about your selected information technology system. You may also need to review related scholarly articles to help answer the questions presented below.
NOTE: In your submitted report, do not share proprietary information, personal names, or organization names without permission.
To complete:
Your deliverable is a 12- to 15-page scholarly report, not counting the title page or references. Include an introduction ending with a purpose statement and a conclusion. A successful report should leave the reader with confidence in understanding the answers to all the questions listed below. Graphics may be used to illustrate key points.
Organization Information
1) Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, health care software company, government health information website, private virtual health information site, etc.).
2) Is the health information technology system/application clinical, administrative, educational, or research related?
3) What were the key reasons for the development of this health information technology system/application, i.e., what made the organization believe this system/application was needed? How did this organization determine those needs? Did the organization use specific tools to conduct needs assessments, staff opinions, or workflows?
4) How did the organization determine that this specific system/application could fulfill its predetermined needs?
5) Who manages this health information technology system/application and where are they located within the organization’s administrative structure?
Information System Application Design and Development
1) Many health care systems have multiple independent entities that work together toward the common goal of providing high-quality care. How did—and do—the various stakeholders make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application?
2) How are individuals trained to use the health information technology system/application?
3) How are security issues addressed? How does this health information technology system/application support a legally sound health care record?
4) Where did initial funds for this health information technology system/application come from?
5) Who manages the budget for this health information technology system/application?
6) Have organizational or political issues impacted the ongoing funding for this health information technology system/application?
7) What are the arrangements for planned or unplanned downtime?
8) How are health information technology system/application upgrades scheduled or planned?
9) How has the health information technology system/application changed in response to health care reform and related legislation?
10) What suggestions could you make regarding changes needed to support health care reform and related legislation?
Innovative Aspects of the System
1) How does the health information technology system/application utilize technology innovations?
2) What technology innovations would you recommend for this organization? What innovations presented in this course, or found through your own research, could this organization benefit from?
3) What innovations could further promote evidence-based practice and efficiency within this organization?
End Product
Your report is a scholarly paper and needs to include a minimum of 10 citations from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Be very cautious when stating your opinion, or using terms suggesting absolute facts, or values, as these must be supported by references. Note that textbooks, including the course texts, are composed of information cited from other sources (see the reference section in the course textbooks). With this in mind, there should be an adequate number of appropriate references (a minimum of 10). Please note that primary sources are to be used. Peer-reviewed journal articles should make up the bulk of your references (90%). If referring to a book, be sure to include all information in APA style, including specific page numbers when necessary. Note that an article referred to in a book is a secondary source. More on this topic is available in the APA Publication Manual and in the Writing Center. See also “Policies on Academic Honesty” listed at the website.
A superior paper demonstrates breadth and depth of knowledge, and critical thinking appropriate for doctoral level scholarship. The report must follow APA Publication Manual guidelines (6th edition) and be free of typographical, spelling, and grammatical errors. This Application is the Major Assessment for this course. You will submit this document by Day 5 Friday of Week 9. By 9:00 AM
REQUIRED READINGS
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.
Review Chapter 16, “Personal Health Record: Managing Personal Health”
This chapter focuses on the future of personal health records and consumerism, as well as the initiatives being developed to strengthen health literacy in the patient population. The nurse’s role in the development of personal health records is also discussed.
Reti, S. R., Feldman, H. J., Ross, S. E., & Safran, C. (2010). Improving personal health records for patient-centered care. Journal of the American Medical Informatics Association, 17(2), 192–195.
Several key elements that designers and practitioners need to be aware of when developing patient-centered electronic health records are outlined in this article.
Schneider, J. M. (2010). Electronic and personal health records: VA’s key to patient safety. Journal of Consumer Health on the Internet, 14(1), 12–22.
This article begins with a brief overview of the benefits and challenges of EHRs and moves into an exemplary example of the record systems currently being used at the VA.
Wagner, P. J., Howard, S. M., Bentley, D. R., Seol, Y., & Sodomka, P. (2010). Incorporating patient perspectives into the personal health record: Implications for care and caring. Perspectives in Health Information Management, 7(Fall), 1–12.
Within this study, the authors integrate patients into a preexisting personal health record system to analyze the overall feelings that patients have about its design and usability options.
Madsen, M. (2010). Knowledge and information modeling. Studies in Health Technology and Informatics, 151, 84-103.
Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.
Peleg, M. (2011). The role of modeling in clinical information system development life cycle. Methods of Information in Medicine, 50(1), 7-10.
The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.
Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989.
This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.
Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. Studies in Health Technology and Informatics, 151, 156–166.
Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.
Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics. Studies in Health Technology and Informatics, 152, 353–366.
In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists.
Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial. The American Journal of Cardiology, 107(5), 690–696.
The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.
Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. Health Services Research, 45(4), 985–1004.
This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.
Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life. Rehabilitation Nursing, 35(6), 254-259.
Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities.
Cisco. (n.d.). Industry solutions: Healthcare.
Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html
Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments.
Massachusetts Institute of Technology. (n.d.). MIT media lab.
Retrieved October 14, 2011, from http://www.media.mit.edu/
View various technology integration stories in the field of health care at this website
McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html
The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.
Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. Journal of Medical Internet Research, 13(1), e20.
View excerpts from the online questionnaires and follow-up interviews used in this study to identify common themes around motivation, challenges, strategies, and benefits regarding individuals’ use of the Internet to gather health information.
Health on the Net Foundation. (2011).
Retrieved from http://www.hon.ch/
Health on the Net Foundation provides consumers with navigation safety tips and the ability to search only those websites that adhere to the credibility standards of the HONcode.
The PEW Charitable Trusts. (2011). Health.
Retrieved from http://www.pewtrusts.org/our_work_category.aspx?id=184
At this website you can find information about the consumer-centered health initiatives that the PEW group is working to challenge and improve.
Robert Wood Johnson Foundation. (2011). Publications and research. Retrieved from http://www.rwjf.org/en/research-publications.html
Use this website to view a wide variety of research-driven publications with topics ranging from obesity to medical malpractice.

psychosocial and Behavioral Aspects of Chronic Disease

/in /by

 
Nursing homework help
psychosocial and Behavioral Aspects of Chronic Disease
Disease prevention is a key concern for public health professionals. Preventing chronic disease is often difficult due to factors that are beyond the control of health professionals. For instance, research has indicated that certain types of cancer, diabetes, hypertension, asthma, Alzheimer’s disease, arthritis, and other chronic diseases are influenced by genetic factors in addition to—and perhaps as much as—environmental and lifestyle factors. Thus, as a public health professional, it is important to consider the difficulties in preventing and treating chronic diseases.
In this Discussion, you explore psychosocial and behavioral factors faced by patients with chronic diseases. You consider several scenarios related to various aspects of chronic disease and provide recommendations for how to address those aspects. Also, you identify challenges that might arise with your recommendations and how those challenges could be managed.
post which scenario you selected and provide a brief summary of the psychosocial factors that influence the health behavior and the disease. Then explain how public health strategies or interventions could be used to address the psychosocial factors you identified. Include in your explanation the challenges associated with these strategies or inventions, and how the challenges can be addressed. Finally, explain why it is important for health professionals and public health practitioners to understand how psychosocial factors impact disease.
Resources:
www.cdc.gov/pcd/about_the_journal/index.htm
www.cdc.gov/chronicdisease/index.htm
http://www.who.int/nmh/publications/ncd_report2010/en/
http://www.who.int/topics/noncommunicable_diseases/en/

  Security of Health Care Records

/in /by

Nursing homework help

  Security of Health Care Records
With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):
In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.
A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).
Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.
To prepare
· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 5, “Ethical Applications of Informatics”

This chapter examines the ethical dilemmas that arise in nursing informatics. The authors explore the responsibilities for the ethical use of health information technology.

  • Review Chapter 23 “Research: Data Collection,      Processing, and Analytics” (pp. 415–416)

In this section, the author explains information fair use and copyright restrictions. The section describes processes for ensuring the security of a computer network.
Brown, B. (2009a). Improving the privacy and security of personal health records.
Journal of Health Care Compliance, 11(2), 39–40, 68.
The author of this article examines the use of the document titled “Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identified Health Information.” The article describes how the framework aims to construct an approach to address the privacy and security challenges that come with health information exchanges and personal health records.
Dimitropoulos, L., Patel, V., Scheffler, S. A., & Posnack, S. (2011). Public attitudes toward health information exchange: Perceived benefits and concerns.
American Journal of Managed Care, 17, SP111–SP116.
This article describes a study that sought to determine the attitude of consumers toward electronic health information exchanges (HIE), HIE privacy and security concerns, and the relationship between these concerns and the perceived benefits of HIE. The authors recommend solutions to some of the privacy challenges stimulated by HIE.
Goodman, K. W. (2010). Ethics, information technology, and public health: New challenges for the clinician-patient relationship. Journal of Law, Medicine & Ethics, 38(1), 58–63.
In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.
Hoffman, S., & Podgurski, A. (2011). Meaningful use and certification of health information technology: What about safety? Journal of Law, Medicine & Ethics, 39(3), 425–436.
This article stresses the necessity of sufficient safeguards for EHR systems. The author explores current safety regulations for EHR system design and deployment. The author makes additional recommendations for protecting public health in the digital area.
 
Rothstein, M. A. (2010). The Hippocratic bargain and health information technology. Journal of Law, Medicine & Ethics, 38(1), 7–13.
The increasing availability of sensitive patient information granted by electronic health records has generated significant debate about patient privacy. This article examines the potential ethical and legal consequences of patient-directed sequestering of sensitive health information.
Optional Resources
Brown, B. (2009b). Privacy provisions of the American Recovery and Reinvestment Act. Journal of Health Care Compliance, 11(3), 37–38, 72–73.
Retrieved from the Walden Library databases.

Think about the nurse’s role in improving the health literacy of patients.

/in /by

Nursing homework help

Health Literacy
In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.
In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.
To prepare:
· Think about the nurse’s role in improving the health literacy of patients.
· Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.
· Reflect on experiences you have had with patients who self-diagnose using online medical sources.
· Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online.
· What are some strategies you could employ to improve the health literacy of patients?
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter      17, “Supporting Consumer Information and Education Needs”

This chapter explores health literacy and e-health. The chapter examines a multitude of technology-based approaches to consumer health education.

  • Chapter      18, “Using Informatics to Promote Community/Population Health”

In this chapter, the authors supply an overview of community and population health informatics. The authors explore a variety of informatics tools used to promote community and population health.

  • Chapter      16, “Informatics Tools to Promote Patient Safety and Clinical Outcomes”

The authors of this chapter present strategies for developing a culture of safety using informatics tools. In addition, the chapter analyzes how human factors contribute to errors.
Health literacy: How do your patients rate? (2011). Urology Times, 39(9), 32.
The authors of this article define health literacy and emphasize its poor rates in the United States. Additionally, the authors recommend numerous websites that offer patient education materials.
Huff, C. (2011). Does your patient really understand? H&HN, 85(10), 34.
This article defines hospital literacy and highlights the barriers that prevent it from increasing. It also emphasizes the difficulties created by language and financial costs.
The Harvard School of Public Health. (2010). Health literacy studies. Retrieved from http://www.hsph.harvard.edu/healthliteracy
This website provides information and resources related to health literacy. The site details the field of health literacy and also includes research findings, policy reports and initiatives, and practice strategies and tools.
Office of Disease Prevention and Health Promotion (n.d.). Health literacy online. Retrieved June 19, 2012, from http://www.health.gov/healthliteracyonline/
This webpage supplies a guide to writing and designing health websites aimed at increasing health literacy. The guide presents six strategies that should be used when developing health websites.
U.S. Department of Health and Human Services. (n.d.a). Quick guide to health literacy. Retrieved June 19, 2012, from http://www.health.gov/communication/literacy/quickguide/Quickguide.pdf
This article contains an overview of key health literacy concepts and techniques for improving health literacy. The article also includes examples of health literacy best practices and suggestions for improving health literacy.
Required Media
Agency for Healthcare Research and Quality (Executive Producer). (2012a). Interview with Rachelle Toman, M.D. Ph.D. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/videos/clinician06/index.html
In this interview, Dr. Toman discusses the importance of asking patients questions to ensure they have been able to sufficiently communicate their concerns.
Agency for Healthcare Research and Quality (Executive Producer). (2012b). The waiting room video. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/videos/waitroom/index.html
This video addresses the importance of communication in the patient-health care professional relationship. It highlights the need to ask meaningful questions to the patient to fully understand issues and concerns.